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腔镜胸骨前径路甲状腺手术后并发症的临床分析(附186例报告)
引用本文:刘海滨,王文跃,鲁瑶. 腔镜胸骨前径路甲状腺手术后并发症的临床分析(附186例报告)[J]. 腹腔镜外科杂志, 2010, 15(6): 444-446. DOI: 10.3969/j.issn.1009-6612.2010.06.016
作者姓名:刘海滨  王文跃  鲁瑶
作者单位:卫生部中日友好医院,北京,100029;卫生部中日友好医院,北京,100029;卫生部中日友好医院,北京,100029
摘    要:目的:探讨腔镜甲状腺术后各种并发症的发生率及防治经验。方法:回顾分析经胸骨前入路为186例患者行腔镜甲状腺切除术的临床资料,总结手术并发症的发生率及防治措施。结果:175例顺利完成手术,3例因快速切片报告为乳头状癌、8例因术中出血中转开放。手术时间50~180min,平均95min;发生暂时性喉返神经损伤2例,颈前皮下积液13例,颈前皮肤淤斑、红肿4例,颈前皮肤粘连3例,皮下气肿2例,术中大出血8例,颈胸皮肤紧张不适感5例,咽喉疼痛10例。结论:腔镜甲状腺手术安全可行,颈前皮下积液是最常见的并发症,发生率与手术范围及患者年龄有关,术中出血是中转开放最常见的原因。

关 键 词:甲状腺疾病  甲状腺切除术  内窥镜检查  手术后并发症

Clinical analysis of postoperative complications in patients with endoscopic thyroidectomy via anterior chest:with a report of 186 cases
LIU Hai-bin,WANG Wen-yue,LU Yao. Clinical analysis of postoperative complications in patients with endoscopic thyroidectomy via anterior chest:with a report of 186 cases[J]. Journal of Laparoscopic Surgery, 2010, 15(6): 444-446. DOI: 10.3969/j.issn.1009-6612.2010.06.016
Authors:LIU Hai-bin  WANG Wen-yue  LU Yao
Affiliation:LIU Hai-bin,WANG Wen-yue,LU Yao.2nd Dept.of General Surgery,China-Japan Friendship Hospital,Beijing 100029,China
Abstract:Objective:To explore the incidence rate and prevention actions of postoperative complications in patients with endoscopic thyroidectomy via anterior chest.Methods:Retrospective analysis was made on clinical data of 186 cases with laparoscopic thyroidectomy via anterior chest,the incidence rate and prevention actions of operative complication were summarized.Results:The laparoscopic thyroidectomy was successfully carried out in 175 cases.3 cases were converted into open surgery due to papillary carcinoma,8 c...
Keywords:Thyroid diseases  Thyroidectomy  Endoscopy  Postoperative complications  
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